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srider

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Everything posted by srider

  1. srider
    It can be really hard to parse all of this out as a clinician. Often if something happens, unless there is a reversible cause it generally doesn't matter the specific reason for cognitive decline. Keeping your VL down is your best bet.
  2. srider
    Is he poz?
  3. srider
    Andy star Nate grimes Drew dixon
  4. srider
    John thomas - love to play with him. 😈👊🏼💦
  5. srider
    Thank you!
  6. srider
    The bottom is super fucking hot - I wanna see other vids of him [think before following links] https://privatehomeclips.com/videos/7749571/beautiful-bb-ff-couple/?promo=31134
  7. srider
    I hope you are doing well now! Neurosyphilis can happen at any stage, but is more common at the late latent. People living with HIV are also more likely to get neurosyphilis.
  8. srider
    I also agree that I wouldn't take doxycycline for 14 days after each exposure. There is some evidence of smaller doses of doxy post-sex as prophylaxis for syphilis and chlamydia (not gonorrhea) but this may drive antibiotic resistance which would fuck everyone over. If you are engaging in activities where you are at risk of contracting STIs, testing is the best strategy.
  9. srider
    That could be life causing fatigue. However, make sure you test for syphilis regularly.
  10. srider
    This is low risk high anxiety. Often related to feeling guilty for what was done. If you're going to have sex with men, go on PrEP. Also don't lie to yourself about what you will or won't do.
  11. srider
    1 tablet daily dosing is the most effective, missing the occasional tablet is okay. PrEP on demand is also an option, depending on sex habits. Trials have shown lower efficacy than daily dosing though.
  12. srider
    Truvada is not currently used for HIV treatment, unless combined with another drug. Most people will go on something Biktarvy or Genvoya. That is why it is important to test regularly while on PrEP to prevent resistance if it fails (e.g. strain resistant to Truvada, inconsistent adherence, etc.)
  13. srider
    The recommendation is to treat LGV contacts for LGV. Hassle Free Clinic will likely receive the test results for chlamydia and the LGV strain shortly. You can follow up with them. Call and ask to speak with the Public Health Nurse and they can advise you whether you need to finish the antibiotics.
  14. srider
    It will be interesting to see what the recommendations are. I am surprised gonorrhea was reduced by doxycycline as the strains that are circulating often have high resistance to doxy. There are concerns that it could also continue to drive antimicrobial resistance. "Doxycycline prophylaxis for bacterial STIs shows promise. Better and more robust data are needed on efficacy; target population; community acceptability; behavioral risk compensation; doxycycline dose, regimen, and formulation; long-term safety; antimicrobial resistance; cost-effectiveness and risk-benefit."
  15. srider
    Men who have sex with men are at increased risk for Hep A (and other parasites) even if they don't rim. The faecal-oral transmission can occur from just plain anal sex, especially without condoms.
  16. srider
    However, using doxy that way is also driving antibiotic resistance in gonorrhea. Many gonorrhea strains are already resistant to doxy as well.
  17. srider
    Usually the side effects you're describing are self limiting and resolve themselves. However rarely they won't go away. You could try for a bit longer and see if it gets better. The other thing is you really should be monitoring your HIV status and bloodwork while you are on PrEP.
  18. srider
    Depends on the test, like wood said. Hep C could take up to 6 months to show on blood tests though.
  19. srider
    It is quite treatable now. Also it's possible to get it from inhalation substance use (e.g. sharing straws/keys/popper bottles) not just injection drug use or raw sex.
  20. srider
    Every three months is a good frequency for many guys who are sexually active. If you have multiple partners a day/week you could consider every 1-2 months or additional tests when you are symptomatic. There's no right answer, but don't go much longer than 3 months if possible if you're quite sexually active.
  21. srider
    Nurse here - less than 200 copies is virally suppressed. If someone has a blip in their VL I'm not concerned. I consider less than 200 to be almost synonymous with undetectable.
  22. srider
    It is less effective than daily prep. If cost or side effects (actually having them, not fear of them) are an issue, or someone's sex pattern is very infrequent (e.g. 1-2 times/year), it could be an option for people. For any trans men, it is not effective for frontal/vaginal sex as the genital tissue does not absorb the drug as well as the rectum.
  23. srider
    I'm quite curious to know more about this. Where is info being shared?
  24. srider
    Frontal = vaginal, but not describing it in terms of female genitalia.
  25. srider
    Hep C is mostly transmitted through IV substance use or shared inhalation equipment. There have been some documented sexual transmissions. It is usually treatable. Herpes - you probably have it and it never caused an issue. It can be transmitted skin to skin before symptoms are noticed. It's not thought to be controllable by public health. If you get it, take meds or it resolves on its own. It may come back, but your body becomes better at clearing it.

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